Sara Marie Nelson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10028641 Issued in OR

Practice address

7477 SE 52ND Ave
Portland, OR 97206-8206

Phone

(765) 212-7365

NPI assigned

Jul 2, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22190/brand/1/csg/1/fhir/r4
• Direct secure messaging: sara.nelson.1@29632.direct.athenahealth.com
• Direct secure messaging: sara.nelson.1@22190.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrate This LLC

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1679414833
  NPD Authorized official
• Pohala Clinic PC

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1689025231
  NPD
• Kwan Yin Healing Arts Center

  • Acupuncturist
  • Portland, OR
  • NPI 1417122771
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1265278022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SE 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151414",
            "telephone_number": "765-212-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 SE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068206",
            "telephone_number": "765-212-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10028641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Nelson, LPC
• Robert J Nelson, LMT
• Robin L Nelson
• Ronn Jeffry Nelson II, PSYD
• Sabrina Nelson, PA
• Sarah Nelson
• Sarah Nelson, ND
• Sarah Caitlin Nelson, PHD
• Sean Nelson
• September Nelson, RN

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.